institution
George H Wathen Md Pa
Specialist in Waldorf, Maryland
NPI 1710168836

George H Wathen Md Pa is a Specialist based in Waldorf, MD. George H Wathen Md Pa practices in Waldorf, MD. The NPI Number for George H Wathen Md Pa is 1710168836 and holds a License No. D0020629 (Maryland).

The current practice location address for George H Wathen Md Pa is Suite 103, Waldorf, MD and can be reached out via phone at 301-645-8144 and via fax at 301-870-8392.

Location: Suite 103, Waldorf, MD, 20603-4804
institution
Provider Profile Details
NPI Number
1710168836
Provider Name
George H Wathen Md Pa
Credential
Provider Entity Type
Organization
Address
Suite 103, Waldorf, MD, 20603-4804
Phone Number
301-645-8144
Fax Number
301-870-8392
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG5923 01 R R MEDICARE
institution
Provider Business Practice Location Address Details
Address
Suite 103
City
State
Zip
20603-4804
Phone Number
301-645-8144
Fax Number
301-870-8392
person
Provider Business Mailing Address Details
Address
Suite 103
City
State
Zip
20603-4804
Phone Number
301-645-8144
Fax Number
301-870-8392
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D0020629 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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